Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Roman, Mario

Roman, Mario was paid $209.22 by Medicaid between Feb 2018 and May 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoROMAN, MARIO
AGUADILLA, PR 00605
33aNPI1508937368assigned 11/13/2006
28Total paid$209.22
24GClaims298
24DCodes billed5
24AFirst – last monthFeb 2018 – May 2018
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#393 of 518
Median peer was paid$5K
This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$50$100$1502018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018298$209.22
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 86% 77 71 $179.22
3078F 14% 13 13 $30.00
1160F 0% 69 64 $0.00
1159F 0% 69 64 $0.00
3008F 0% 70 65 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.